MRS. JISHA MATHEW APRN
NPI 1205478724
Nurse Practitioner - Family in League City, TX
About Mrs. Jisha Mathew Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JISHA MATHEW APRN (NPI 1205478724) is an individual family provider in League City, Texas, licensed in Texas (1121908) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jisha Mathew Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jisha Mathew reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
League City, TX 77573
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Family Tree Health Clinic PA
- 3 clinicians in this Medicare group
Webster, TX 77598
- Reassigned Medicare billing, Texas enrollment
- 275 clinicians in this Medicare group
Webster, TX 77598
- Reassigned Medicare billing, Texas enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEAGUE CITY, TX 77573
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jisha Mathew's NPI number?
The NPI number for Jisha Mathew is 1205478724. It was assigned to this individual provider in the NPPES registry on October 16, 2019.
Where is Jisha Mathew located?
Jisha Mathew practices at 201 Enterprise Ave Ste 900, League City, TX 77573. The listed phone number is (281) 538-8188.
What is Jisha Mathew's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jisha Mathew enrolled in Medicare?
Yes. Jisha Mathew is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jisha Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jisha Mathew reassigns Medicare benefits to 3 organizations: Family Tree Health Clinic P A (League City, TX), Cls Health PLLC (Webster, TX) and Clear Lake Primary Care PLLC (Webster, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jisha Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jisha Mathew accept?
Health plans from Ambetter from Superior HealthPlan, Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company and 1 other insurer list Jisha Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jisha Mathew was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jisha Mathew, APRN · NPI 1205478724
Family physician in League City, Texas. Individual provider, active in the CMS NPPES registry since October 16, 2019.
## Identity
- **NPI:** 1205478724 (Entity type: Individual)
- **Enumerated:** October 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1121908 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 ENTERPRISE AVE STE 900, League City, TX 77573-3087
- **Phone:** (281) 538-8188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Family Tree Health Clinic P A (NPI 1205907987, League City, TX); Cls Health PLLC (NPI 1750305355, Webster, TX); Clear Lake Primary Care PLLC (NPI 1861743247, Webster, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205478724) · Data from the CMS NPPES public registry.